Studies restricted to Australia and New Zealand describing
caries risk management protocols for all age groups, both children and adults
Differences with regard to behaviour characteristics in externalising children with an elevated
caries risk were observed.
There are more children with externalising behaviour problems having an elevated
caries risk, compared to children in general in the Region of Västra Götaland, Sweden.
Differences were found in behavioural characteristics and the family structure in externalising children with an elevated
caries risk, compared to externalising children with a low
caries risk.
As in the main study, intermediate and high
caries risk was merged into one group; thus, the two outcome values were «Low Risk» or «Elevated Risk».
This study has shown that there were statistically significant more children with an elevated
caries risk in the study group, compared to children in general, in the Region of Västra Götaland (RVG), both totally and within gender.
The caries risk clinical assessment is made by child's regular dentist, according to the regional standardised guidelines by the Region of Västra Götaland.
The elevated
caries risk among children with externalising behaviour problems can to some extent be explained by their behavioural characteristics.
Data about
caries risk assessment were obtained from dental records.
To identify children at risk, data were dichotomised to low and elevated
caries risk.
Finally, positive and negative factors are weighed by the R2 system to characterise
the caries risk as low, intermediate or high.
Caries risk assessment is defined as the probability of an individual patient to develop caries lesions over a certain period of time.
Information regarding a child's behavioural characteristics can be used by a dentist to modify
the caries risk assessment in the software programme R2, and further help clinicians to plan and provide tailored, empirically supported interventions.
The caries risk assessments were made by the examining dentists who were not calibrated specifically for taking part in the present study; however, the R2 risk grouping is self - instructive in the electronic file system.
Another possible explanation for externalising children having an elevated
caries risk may be that these children are challenging in their interactions with parents.
In Sweden, all children are assessed for
caries risk by their dentist at their regular dental examinations.
All Swedish children are assessed for
caries risk at their regular dental recall examinations.
Children in the elevated
caries risk group showed higher mean values for conduct problems as well as impulsivity.
Children with externalising behaviour problems and elevated
caries risk are characterised by different behavioural characteristics and family structure, compared to externalising children with low
caries risk.
From the results of the inductive analysis, it can be concluded that the pattern rules for
the caries risk grouping into «Low Risk» and «Elevated Risk» are realistic.
Increased knowledge regarding behavioural characteristics in externalising children is an important parameter and should be considered in
the caries risk assessment.
Number of children in the household and the father's ethnicity in the low and elevated
caries risk groups, respectively
The elevated
caries risk found among disruptive children, who also had non-Nordic father, is in accordance with a previous Swedish study where it was concluded that the parental migration background should be regarded as a
caries risk factor (Julihn et al. 2010).
For the Conflict scale, a statistically significant difference was found with a higher mean value in the low
caries risk group, compared with the elevated
caries risk group for less conflict (9.03 vs. 7.11; p = 0.006)(Table 3), indicating that there were less conflicts in the families with children belonging to the elevated
caries risk group.
To compare two groups of children with externalising behaviour problems, having low and elevated
caries risk, respectively.
A permissive parental attitude to dietary habits and tooth brushing could explain the elevated
caries risk, which is in agreement with findings of a Norwegian study (Skeie et al. 2006).
The verification of the pattern rules evolved in the inductive analysis, using the original data forming the R2 risk groups, and pooling the values for intermediate and high
caries risk, indicated that the risk grouping used in the present study was relevant.
Children with externalising problems and an elevated
caries risk may share similar temperamental behaviours as children with an ADHD - associated diagnosis, and it could thus be possible to draw parallels with this group of children.
The percentage and number (in brackets) of boys and girls in the low, intermediate and high
caries risk groups, and in the elevated
caries risk group (combining the intermediate and the high
caries risk groups), respectively
Children with an elevated
caries risk lived more often in households with more than two children and had more often a father from a non-Nordic country.
Information about
caries risk, estimated by the computerised algorithm - based system R2 (Andas and Hakeberg 2014), used by the Public Dental Service in the Region of Västra Götaland (RVG), was obtained from the dental file system.
Aspects of a child's behavioural status may be important parameters to be considered in
caries risk assessment, as well as for dental treatment and therapy planning.
Pearson's Chi - square test for categorical variables and t test for continuous variables were used to analyse family structure and to compare means for the low
caries risk group to the elevated
caries risk group regarding child behavioural characteristics.
The best thing you can do is to see your hygienist and / or dentist for
a caries risk assessment and other tips for oral care.
Available without prescription, it is aimed primarily at those with high
caries risk.
The American Academy of Pediatric Dentistry is slightly more conservative, suggesting that
the caries risk to the individual child also be considered: «The AAPD endorses the supplementation of a child's diet with fluoride according to established guidelines1, when fluoride levels in community water supplies are sub - optimal and after consideration of sources of dietary fluoride and
the caries risk of the child.»
The aim of the present study was to compare two groups of children with externalising behaviour problems, having low and elevated
caries risks, respectively, in relation to behavioural characteristics and family structure and, further, to compare the caries risk assessment and gender differences in relation to children in general in the Region of Västra Götaland (RVG), Sweden.
Not exact matches
Regular consumption of sugar sweetened drinks increases the
risk of obesity, diabetes, and dental
caries
• While the researchers have referenced WHO guidelines — «10 % energy as added sugars» guideline which is based on a 2003 WHO Report to minimise the
risk of dental
caries, a recent report by the Institute of Medicine in 2005 recommended no more than 25 % of energy from «added sugars» (based on maintaining nutrient adequacy).
• In relation to dental
caries, sugars and cooked starches (eg bread, pasta) are fermentable carbohydrates that can increase the
risk of tooth decay in the absence of good oral hygiene.
There is now a large range of non-alcoholic drinks available that do not contain fermentable carbohydrates and do not increase the
risk if dental
caries.
Sugar - sweetened beverages, particularly soda, provide little nutritional benefit and increase weight gain and probably the
risk of diabetes, fractures, and dental
caries.
It is also important to understand that parents who are prone to get cavities or have gum disease can also put their infants at
risk for
caries.
They stated that «Prolonged breastfeeding increases the
risk of having dental
caries.»
A child attached to a bottle and using it as nighttime comfort (aka the bottle is in bed with him) is at
risk for dental
caries due to sugars in milk coating those new baby teeth and not getting brushed off.
Based on the belief that breastfeeding increases the
risk for infant
caries, some researchers and healthcare professionals have recommended that infants be weaned with the eruption of the first deciduous tooth.
The authors called for further research in order to understand the increased
risk of
caries in children breastfed after 12 months.
Bottle - fed babies «are at increased
risk for baby bottle
caries, a destructive dental condition which occurs when a baby is put to bed with a bottle containing formula, milk, juice or other fluids high in carbohydrates.
Remember that dental
caries may occur at any point and when a tooth falls off, there is a
risk of infection.
Once other foods (including formula) are introduced into the baby's diet, the
risk of dental
caries is the same as that of all children eating adult food and good oral hygiene and dental visits are important to avoid cavities.